Selective MR imaging of silicone with the three-point Dixon technique.

Selective magnetic resonance (MR) imaging of silicone with the three-point Dixon technique was evaluated. This technique, which conventionally allows separation of lipid and water signals, was modified to allow calculation of a silicone-only image and a lipid-water image. Imaging of fat and silicone implant phantoms was performed with a 1.5-T imager and was optimized in vivo in two volunteers who had breast reconstruction or augmentation. Six additional volunteers were then imaged to evaluate selective MR imaging of silicone. With an optimum frequency shift of 105 Hz, a repetition time of 1,000 msec, and an echo time of 28 msec, the modified three-point Dixon technique produced a silicone-only image containing 97.0% +/- 1.0 (standard deviation) of the total silicone signal, 2.6% +/- 0.5 of the fat signal, and 16.6% +/- 6.4 of the water signal. The silicone-fat contrast-to-noise ratio was 47.9 +/- 12.1. This method may be potentially useful in the evaluation of implant-related complications such as rupture.